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Nursing NCC-NNP Exam Syllabus Topics:

SectionWeightObjectives
General Management19%- Fluids and electrolytes
  • 1. Fluid balance management
- Thermoregulation
  • 1. Temperature stabilization
- Resuscitation and stabilization
  • 1. Emergency neonatal care
- Growth and nutrition
  • 1. Nutritional management
General Assessment15%- Discharge planning and follow-up care
  • 1. Care transition
  • 2. Post-discharge monitoring
- Family integration
  • 1. Parent communication
  • 2. Family-centered care
- Neonatal assessment
  • 1. Physical examination
  • 2. Gestational age evaluation
- Maternal history affecting the newborn
  • 1. Risk assessment
  • 2. Prenatal and perinatal factors
Pharmacology9%- Drugs and breastfeeding
  • 1. Medication safety
- Pharmacokinetics and pharmacodynamics
  • 1. Drug metabolism in neonates
- Common drug therapies
  • 1. Medication administration
Professional Issues3%- Legal and ethical principles
  • 1. Professional responsibility
- Evidence-based practice
  • 1. Clinical research application
- Quality improvement and patient safety
  • 1. Healthcare quality management
Embryology, Physiology, Pathophysiology and Systems Management54%- Cardiac
  • 1. Congenital and acquired cardiac disorders
- Genetics
  • 1. Genetic syndromes
- Infectious diseases
  • 1. Neonatal infections
- Respiratory
  • 1. Respiratory distress and ventilation
- Eyes, ears, nose, mouth and throat
  • 1. Sensory and airway conditions
- Integumentary
  • 1. Skin conditions
- Renal and genitourinary
  • 1. Kidney and urinary conditions
- Musculoskeletal
  • 1. Bone and muscle disorders
- Neurological
  • 1. Neurological disorders
- Metabolic and endocrine
  • 1. Metabolic regulation
- Gastrointestinal
  • 1. Digestive system disorders
- Hematopoietic
  • 1. Blood disorders

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Nursing Neonatal Nurse Practitioner Exam Sample Questions (Q163-Q168):

NEW QUESTION # 163
When conducting research, the type of bias that occurs when there is an error in classification is

Answer: A

Explanation:
Information bias occurs with errors in classification, so an estimate of association is incorrect. Non-differential misclassification occurs when there is similar misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Differential misclassification occurs when there is a differing misclassification of disease or exposure among both those who are diseased/exposed and those who are not. Selection bias occurs when the method of selecting subjects results in a cohort that is not representative of the target population because of inherent error in design. Indication bias occurs when factors prevent differentiating between cause and effect.


NEW QUESTION # 164
The newborn with hypothermia has an increased risk of developing

Answer: A

Explanation:
Persistent hypothermia can lead to hypoglycemia. There may be a period of transient hyperglycemia when glycogen stores are used to increase glucose levels, but this is followed by hypoglycemia as energy demands exceed glucose supply. This can lead to metabolic acidosis, not alkalosis.


NEW QUESTION # 165
The genetic condition that results in a bluish tinge to the sclera of the eyes and multiple bone fractures is

Answer: C

Explanation:
Osteogenesis imperfecta is a genetic disorder that causes bones to be weak and fracture easily. It can also cause a bluish tone to the sclera of the eyes, scoliosis, short stature, and hearing loss. The condition occurs due to a genetic defect that results in problems with the body producing collagen, which strengthens bones. There is no cure for osteogenesis imperfecta, but bone strengthening medications and splinting/casting may help to protect the strength of the bones.


NEW QUESTION # 166
The parents of a newborn with strabismus express concern about how this is going to be treated. The most appropriate response is

Answer: C

Explanation:
Strabismus is a misalignment of the eyes, usually from a weak or defective eye muscle. As the child becomes older, patching and eyeglasses can help with strengthening the weak muscle to help align the gaze of the eyes. If left untreated or in the rare cases that patching and eyeglasses are not affective, strabismus can become severe and result in a full cross-eyed appearance. Occasionally surgery will need to be performed to correct the misalignment.


NEW QUESTION # 167
A 6-day-old newborn develops signs of congestive heart failure with tachypnea, heart rate 175 at rest, fine pulmonary rales, and difficulty feeding. The most likely underlying cause is

Answer: A

Explanation:
Onset of symptoms varies with different structural defects, and symptoms of congestive heart failure within the first week may be caused by patent ductus arteriosus as well as transposition of the great vessels and total anomalous pulmonary return with pulmonary venous obstruction. Hypoplastic left heart syndrome is evident at birth. Coarctation of the aorta and pulmonary stenosis are usually evident between one and four weeks after birth.


NEW QUESTION # 168
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